Partial splenectomy : A case series and systematic review of the literature :A case series and systematic review of the literature

Francesco Esposito; Adele Noviello; Nicola Moles; Nicola Cantore; Mario Baiamonte; Enrico Coppola Bottazzi; Antonio Miro; Francesco Crafa

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자료유형: 학술저널

저자정보: Francesco Esposito (S.G. Moscati Hospital) Adele Noviello (S.G. Moscati Hospital) Nicola Moles (S.G. Moscati Hospital) Nicola Cantore (S.G. Moscati Hospital) Mario Baiamonte (Civico Hospital) Enrico Coppola Bottazzi (S.G. Moscati Hospital) Antonio Miro (S.G. Moscati Hospital) Francesco Crafa (S.G. Moscati Hospital)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제22권 제2호

발행연도: 2018.5

수록면: 116 - 127 (12page)

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Backgrounds/Aims: Partial splenectomy (PS) is a surgical option for splenic mass, in order to reduce postoperative complications and preserve the splenic function. Despite this, data in literature is still scarce. The present study aimed to reveal our recent experience and provide a comprehensive overview of the feasibility and complications related to various surgical approaches. Methods: Data of patients who underwent PS, between 2014 and 2017 were retrospectively reviewed. Literature was searched for studies reporting all types of PS in adult or adolescent patients. Results: Five PS were performed in our department: two (40%) by laparoscopy and three (60%) by laparotomy. Two (40%) postoperative complications were detected, and in one of them, total splenectomy (TS) by laparotomy was finally required. There were no deaths or complications at last follow-up. Twenty studies including 213 patients were identified in the literature search. The rate of conversion from laparoscopic to open surgery was 3% (range, 5-50%) and in 3% of cases (range, 7-10%) PS was converted into total TS and the overall morbidity rate was 8% (range, 5-25%). In comparison to laparotomy, the conversion rate of laparoscopic approach to TS was 3.5% (vs. 1.4%) and a morbidity rate of 9.8% (vs. 4.3%). Conclusions: The present review shows that PS is a viable procedure in selected cases. The mini-invasive approach seemed to be feasible despite the presence of higher rate of complications than the open technique. In future, further studies on this topic are needed by involving more patients. Furthermore, it is proposed that the development of robotic surgery could make this approach the new gold-standard technique for spleen-preserving surgery.

#Partial splenectomy #Laparoscopic partial splenectomy #Systematic review

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